Answer to Question 1
B
The nurse should further investigate whether the patient is experiencing any other adverse effects of the drug, note them in the chart, and report them to the prescriber.
The nurse should not tell the patient that she can safely take the drug, because this disregards the important information the patient has provided with regard to previous reactions to tetracycline.
Simply making a note in the chart is not enough for the nurse to do in relation to a potential drug reaction. Further assessment is required by the nurse.
Yeast infections may occur with tetracyclines, therefore this option is a misstatement.
DIF: Cognitive Level: Application REF: p. 11
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
Answer to Question 2
D
Heparin overdose may cause hemorrhage, which can be characterized by low blood pressure, tachycardia, and lumbar pain. Protamine sulfate should be given, and the heparin should be dis-continued. An aPTT may be drawn later to monitor the effectiveness of protamine sulfate. Anal-gesics are not indicated because the lumbar pain is likely caused by adrenal hemorrhage. Aspirin will only increase the risk of hemorrhage.